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IV Contrast for MRI and CT: Population at Risk for Acute Kidney Injury

  • Stem cell transplant
  • Acute or past treatment of oncologic disease
  • Congenital heart disease
  • Undergoing cardiopulmonary bypass
  • Single ventricle physiology
  • History of heart transplant
  • Solid organ transplant
  • Children receiving daily nephrotoxins
  • History of AKI
  • Cystic fibrosis
  • History of ECMO
  • Underlying kidney disease
  • History of severe prematurity
  • Chronically malnourished

Selewski DT, Askenazi DJ, Kashani K, Basu RK, Gist KM, Harer MW, Jetton JG, Sutherland SM, Zappitelli M, Ronco C, Goldstein SL, Mottes TA. Quality improvement goals for pediatric acute kidney injury: pediatric applications of the 22nd Acute Disease Quality Initiative (ADQI) conference. Pediatr Nephrol. 2021 Apr;36(4):733-746. doi: 10.1007/s00467-020-04828-5. Epub 2021 Jan 12. PMID: 33433708.

These pathways do not establish a standard of care to be followed in every case. It is recognized that each case is different, and those individuals involved in providing health care are expected to use their judgment in determining what is in the best interests of the patient based on the circumstances existing at the time. It is impossible to anticipate all possible situations that may exist and to prepare a pathway for each. Accordingly, these pathways should guide care with the understanding that departures from them may be required at times.

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